LEARNING PACKAGE
HEALTH CARE ASSISTANT
Families Division
CHILDRENS UNIT
Name __________________________
Start date _______________________ Mentor _________________________ Buddy Mentor____________________ Developed by;- Maia Pelgrom (Practice Development Sister) Karen O’hara (Senior Health Care Assistant) December 2011 Updated July 2013
Planned Meetings
An initial meeting with mentor and employee should occur as soon as possible
following employment start date. The agenda for this will be:
Review induction programme
Introduction to programme
Identification of Trust, directorate and specific personal objectives
Identify activities and evidence of learning to be produced, and record on
learning contract
Book mandatory training sessions if not already attended:
o Safeguarding Children and Domestic Abuse
o PBLS
o E-learning packages –
Information governance
Equality & diversity
Set date for interim meeting
A 6-8 weeks interim meeting:
Agree further action plans/educational support to meet competencies as
necessary
Follow up on previous actions planned
Review personal objectives if necessary
Document evidence of learning as appropriate
Set date for midway meeting
3 month midway meeting:
Review competency progress
Set date with line manager for appraisal
Set date for 6 month meeting
6 month meeting:
Review competency progress and evidence of learning
Sign off competencies as appropriate
Discuss competencies to be deferred for sign off and action plan
Follow up appraisal outcomes
Review mandatory training attended.
The Role and Responsibilities
Take responsibility for their own personal and professional development
Identify personal strengths and weaknesses at the onset and throughout.
Work together and in identifying needs and developing learning
contracts.
To take opportunities to practice clinical skills and gain competence.
Use self-directed learning to meet objectives.
Through the process of reflection and collection of supporting evidence,
illustrate professional development and record developments in a
personal professional profile.
The role of the mentor
Assess performance and look for evidence of developing role
competence.
Support and guide the preceptee in achieving the standards outlined in
the programme.
Provide support and feedback if the HCA is not achieving
competencies.
5
COMPETENCIES
COMMUNICATION
1. Demonstrates teamwork skills through working in a way that is
complementary to others.
2. Contributes to team meetings.
3. Ensures all documentation is legible, relevant, contemporary, signed, dated
and timed.
4. Demonstrates awareness of confidentiality issues.
5. Demonstrates understanding of ‘parental responsibility’ and consent.
PERSONAL AND PEOPLE DEVELOPMENT
1. Undertakes continuous personal development in order to provide evidence
based care.
2. Participates in clinical supervision activities.
3. Be willing to learn, develop skills and to be open to receiving support and
guidance.
RISK MANAGEMENT
1. Demonstrates understanding of the current health & safety policies and own
role and responsibilities.
2. Works in a manner that demonstrates personal safety.
3. Demonstrates the ability to initiate correct procedures for dealing with
complaints.
4. Records patient contact and interventions appropriately and reports critical
incidents/significant events.
INFECTION CONTROL
1. Demonstrates awareness of and adherence to policies and procedures
2. Demonstrates adequate hand washing techniques.
3. Has read and adheres to uniform policy (particular attention to hair and
jewellery).
6
CLINICAL EFFECTIVENESS
1. Demonstrates ability to reflect critically and learn from experience.
2. Demonstrates working according to protocols and guidelines in practice.
AUDIT
1. Contributes to the audit process.
INFORMATION AND IT
1. Demonstrates knowledge of how to access IT.
2. Demonstrates the ability to use the Trust Intranet System to find policies and
procedures.
SAFEGUARDING
1. Demonstrates understanding of personal role and responsibilities.
2. Demonstrates understanding of the principles of record keeping in
safeguarding.
3. Demonstrates awareness of local policies.
4. Demonstrate knowledge of the referral process as appropriate to other health
professionals.
5. Attendance at mandatory training sessions.
SICKNESS POLICY
1. Has awareness of local policy of reporting sickness absence to Unit bleep
holder in the first instance.
2. Is aware to contact unit bleep holder if unable to work booked shifts, and that
cancelled shifts will be monitored.
3. Has read and understands the ‘Management of Sickness Absence’ policy
CORP/POL/011.
7
LEARNING CONTRACT
Each section must be discussed and action planned, signed and dated. Any identified
supervision/ guidance needs must be documented on the interview sheet, and action
planned accordingly.
Learning needs identified
COMPETENCY AGREED ACTIVITIES – some suggested activities and
more should be added as relevant.
TIMEFRAME
FOR EXPECTED
ACHIEVEMENTS
Communication Patient documentation.
Telephone answering policy.
Personal &
people
development
Identify learning needs.
Risk management Awareness of incident reporting procedure.
Infection
prevention
Awareness of ongoing audits.
Awareness of policies.
Audit Involvement with audits i.e. NCI, hand hygiene, commode.
Information & IT Identify learning needs.
Awareness of intranet and emailing.
Awareness of IT policy.
Safeguarding Understand role.
Understand reporting process.
Resuscitation BLS training.
Sickness &
absence policy
Read policy.
Action plan:
Employee signature……………………… Print name …………………Date………
Mentor signature………………....……….Print name………………….Date………
8
This table can be used to aid discussion/ ideas into developing the Learning program (duplicate as required).
Date
What do you need to learn?
How will this be achieved?
(Resources/ process).
When will this occur?
How will I know this has been
achieved?
9
INITIAL INTERVIEW
Orientation/induction into workplace
Support required
Nursing skills
Signature ………………………………………………. Date ……..………
Signature of mentor……………………………………. Date ……..………
10
INTERIM INTERVIEW
Record of progress, development and socialisation into role.
Areas identified where further development is needed.
Nursing skills
Signature …………..………………………………….. Date…………..
Signature of mentor……………………………...……. Date…………
11
6 MONTH MEETING
Record progress and developments into the role of a health care assistant
Comments from preceptor
Signature ……...…………………………………….. Date……………..
Signature of mentor………………………………….. Date……………..
12
ADDITIONAL INTERVIEW
Record of progress, development and socialisation in to the role of a health care
assistant
Identify areas where further development is needed
Signature …………………………………………………….... Date…………..
Signature of mentor…………………………………………… Date…………..
13
APPENDICES FOR INCLUSION IN PROFESSIONAL PORTFOLIO
Reflection on an incident relating to Safeguarding Children
DETAILS OF: What happened, when, where, who was involved. Action taken. ( when & by Whom? ) Reflection on the action. (use of the Children’s Act, Interagency working, communication, record keeping ) Changes in practice as a result of reflection.
14
Reflective Practice. Incident/situation: -
What I learned from the experience: -
15
Study Days and Courses.- All dates MUST be given to the Practice Development Sister
Study Day Attended
Date
Summary
Courses Attended/completed
Date
Summary
16
CLINICAL SKILLS
Communication, Documentation and Record Keeping
DISCUSSION DATE
SUPERVISED OBSERVATION
DATE
COMMENTS MENTOR SIGN & DATE
Has read and understood Trust policies on record keeping standards
Understands when documented entries must be countersigned by trained nurse i.e. admission pack, care plan.
Understands when need to document in patient notes.
Understands own accountability for accurate record keeping.
Demonstrates good and accurate communication skills
Understands the use of SBAR in communication
Understands and uses basic IT and use of e-mails
17
Basic Observations and PEWS
DISCUSSION DATE
SUPERVISED OBSERVATION
DATE
COMMENTS MENTOR SIGN & DATE
Understand CPotts chart and reporting concerns
Competent recording TPR & BP assessment
Understand and competently perform and record neuro obs
Understand, perform and record height and weight assessment
Understand centile charts and demonstrate accurate recording.
PEWS. Understand triggers and documenting.
Pain Scores
Accurately recording on fluid balance charts
Measuring urine and weighing nappies
Understand and demonstrate care of the cannula, reading drips and recording on fluid balance chart.
18
Basic Airway Management.
DISCUSSION DATE
SUPERVISED OBSERVATION DATE
COMMENTS MENTOR SIGN & DATE
Understand the delivery and recording of face mask oxygen
Understand the delivery of oxygen via nasal cannula
Understand the use of Non-Rebreathe Bag and Mask
Understand the use of Laerdal Bag and Mask
Understand and set up humidified oxygen
Understand and set up head box oxygen
Care and cleaning of incubator
19
Bed Making, Cleaning and Infection Prevention
DISCUSSION DATE
SUPERVISED OBSERVATION DATE
COMMENTS MENTOR SIGN & DATE
Hand-washing procedure and policy.
Bed Making, PPE and disposal of used laundry.
Barrier nursing. Procedure and policy
Cleaning used equipment
Disposal of waste
Understanding waste colour codes
Housekeeping of ward
Cleaning rooms and bed spaces following discharge
Checking mattresses
Knowledge of Infection Prevention Policy
MRSA screening policy
CPC (Carbapenemase Producing Coliforms) screening policy
20
Feeding and Nutrition.
Set up and clean DISCUSSION DATE
SUPERVISED OBSERVATION DATE
COMMENTS MENTOR SIGN & DATE
Caring for breast feeding mothers
Care of breast pumps
Bottle feeding.
Sterilization of equipment
Preparing Formula feeds
Meal trolley and menus.
Recording nutritional risk assessment
Recording diet and fluids
Nasogastric tube (awareness of care)
* extra training needed *
NB Naso-gastric tube feeding is only performed by HCAs who have undertaken, and been assessed as competent, extra additional training.
Annual updates are required to continue to practice this skill.
21
Obtaining Specimens
DISCUSSION DATE
SUPERVISED OBSERVATION DATE
COMMENTS MENTOR SIGN & DATE
U-bag application
Urinalysis
Clean catch urine
MSU
Stool specimen
Personal Care
DISCUSSION DATE
SUPERVISED OBSERVATION DATE
COMMENTS MENTOR SIGN & DATE
Bathing a Child
Changing nappies
Respecting dignity
Mouth care
Pressure area care
Be aware of the following
DISCUSSION DATE
SUPERVISED OBSERVATION DATE
COMMENTS MENTOR SIGN & DATE
Bereaverment Care
CAMHs
Assist in distraction/ play
Assist in sterile wound cares
22
Medical Devices Policy Awareness Checklist.
Medical Devices training booklet given – date:
If you have any queries regarding medical devices, please contact the Medical Devices Lead; -- John-Paul Murphy
Before using any medical device, ask yourself the following:
Questions Relating to Policy and Procedure
YES
NO
Are you familiar worth the trusts policy on the management of medical devices?
Are you familiar with the Trusts procedures for the management of medical devices?
Are you aware of the procedure for accessing MDA bulletins relevant to your area of practice?
Are you aware of the procedure for accessing hazard and safety notices?
Are you aware of who is responsible for the risk management in the organisation?
Are you aware of the procedure for recording and how to action an adverse incident?
Are you aware of the procedure for reporting faulty or broken equipment?
Are you aware who the equipment controller is for your area?
Are you aware who the key trainers are for each piece of equipment?
Have you undertaken a professional self-assessment on all the medical devices you will be using within
your area of responsibility?
You should keep this checklist in your professional portfolio together with evidence of your training and
assessment of competence. The department manager should also retain a copy.
23
Final assessment Without looking back to the beginning of the pack, repeat this exercise with your feelings now that you are at the end of the programme. Score yourself from 1 to 5 on how you feel with respect to certain tasks, skills and feelings. A score of 1 is low/bad/ineffective and score 5 is high/good/effective.
Team contributor 1 2 3 4 5 Competent practitioner 1 2 3 4 5 Professional 1 2 3 4 5 Time manager 1 2 3 4 5 Communicator 1 2 3 4 5 Role Anxiety 1 2 3 4 5 Confident 1 2 3 4 5 Valued 1 2 3 4 5 Now look back at your initial self-assessment at the front of the pack and compare.
Discuss this also with your mentor.
24
HEALTH CARE ASSISTANT WORKBOOK COMPLETION STATEMENT
This workbook must be signed when you are satisfied that the Health Care Assistant has completed all the relevant sections including the clinical skills which must be performed to a competent standard.
A photocopy of this completion statement must be sent to OLM Learning and Development for input into the Trust Central Training Data Base as evidence.
A copy should also be filed in the staff member’s personal file.
This is to confirm that the Health Care Assistant Learning Package has been completed by:-
Surname (Block Capitals):………………………………………………………………………………
Forename (Block Capitals); …………………………………………………………………………….
Job Title: Health Care Assistant
Department Paediatrics.
Date Completed: ………………………………………………………………………………………….
Staff Signature: ……………………………………………………………………………………………
Mentor Signature: …………………………………….Print Name…………………………………….
Practice Development Signature: ………………………………………………………………………
Print Name ……………………………………………………..Date ……………………………………
Date sent to OLM: …………………………………………………………………………………………
